Gibbs, Edwin Charles

Gibbs, Edwin Charles is an individual health care provider with primary practice located at 45 N Holladay Dr , Seaside OR 97138. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Chiropractic Providers / Chiropractor is his primary health care specialty. Gibbs, Edwin Charles can be contacted via phone (503) 738-7343.

Contact Information

Primary practice address
45 N Holladay Dr Seaside OR 97138
Phone: (503) 738-7343
Fax: (503) 738-9946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 272219 Oregon
Other Service Providers / Acupuncturist 171100000X AC00733 Oregon
Other Service Providers / Naturopath 175F00000X 1078 Oregon

Profile Details

NPI number 1417088824
LBN Legal business name Gibbs, Edwin Charles
Credentials DC ND LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417088824 NPPES
Oregon Other 862925004 REGENCE BLUE CROSS
Oregon MEDICAID 213146 REGENCE BLUE CROSS
Oregon MEDICAID 076724 REGENCE BLUE CROSS
Oregon Other 862925003 REGENCE BLUE CROSS
Oregon Other 862925001 REGENCE BLUE CROSS

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